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Am. J. Trop. Med. Hyg., 70(4), 2004, pp. 386-389
Copyright © 2004 by The American Society of Tropical Medicine and Hygiene

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MYIASIS IN KUWAIT: NOSOCOMIAL INFECTIONS CAUSED BY LUCILIA SERICATA AND MEGASELIA SCALARIS

PARSOTAM R. HIRA, REEM M. ASSAD, GHUFRAN OKASHA, FAIZA M. AL-ALI, JAMSHAID IQBAL, KAMAL E. H. MUTAWALI, R. HENRY L. DISNEY, AND MARTIN J. R. HALL
Department of Microbiology, Faculty of Medicine, Kuwait University, Kuwait City, Kuwait; Department of Surgery, Infection Control Department, and Intensive Care Unit, Mubarak Hospital, Kuwait City, Kuwait; Microbiology Laboratories, Farwania Hospital, Kuwait City, Kuwait; Department of Zoology, Cambridge University, Cambridge, United Kingdom; Entomology Department, The Natural History Museum, London, United Kingdom

Myiasis, the invasion of live human tissue by larvae of Diptera, is reported in the nasopharynx and a leg wound in two patients who were hospitalized for more than 72 hours in Mubarak Al-Kabeer Teaching Hospital in Kuwait City, Kuwait. On the fourth and fifth days after a 10-year-old Kuwaiti boy was admitted to the hospital intensive care unit in a bloodied and comatose state following a traffic accident, ‘worms’ that came out of his nostrils were fixed, cleared, and identified as second and third instar of Lucilia sericata (Diptera: Calliphoridae). After 14 days, ‘worms’ were seen in the original dressing of a 35-year-old Iranian man admitted to the Orthopedic Unit of the hospital with multiple lacerations and fractures. The larvae, in various stages of development, were identified as those of Megaselia scalaris (Diptera: Phoridae). Since the presence of larvae in both patients was recorded after a stay of at least 3–4 days in the hospital, by definition, these infestations are considered nosocomial.

Received July 7, 2003. Accepted for publication October 26, 2003.

Acknowledgments: We thank the physicians in the District General Hospitals for referring the patients to us.

Financial support: This study was supported by the Office of the Vice-President for Research, Kuwait University (grants MI 015, MI 06/01, and MI 054) and the Kuwait Foundation for Advancement of Sciences (KFAS 84-07-01).

Authors’ addresses: Parsotam R. Hira and Jamshaid Iqbal, Department of Microbiology, Faculty of Medicine, Kuwait University, Kuwait City, Kuwait, E-mail: hira{at}hsc.kuniv.edu.kw. Reem M. Assad, Department of Surgery, Mubarak Hospital, Kuwait City, Kuwait. Ghufran Okasha, Infection Control Department, Mubarak Hospital, Kuwait City, Kuwait. Faiza M. Al-Ali, Microbiology Laboratories, Farwania Hospital, Kuwait City, Kuwait. Kamal E. H. Mutawali, Intensive Care Unit, Mubarak Hospital, Kuwait City, Kuwait. R. Henry L. Disney, Department of Zoology, Cambridge University, Downing Street, Cambridge CB2 3EJ, United Kingdom. Martin J. R. Hall, Entomology Department, The Natural History Museum, Cromwell Road, London SW7 5BD, United Kingdom.






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Copyright © 2004 by the American Society of Tropical Medicine and Hygiene.